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Boutonniere deformity, also called buttonhole deformity, can happen due to rheumatoid arthritis. The middle finger joint will bend toward the palm while the outer finger joint may bend opposite the palm. It may be the result of chronic inflammation of the finger's middle joint. Treatment may include splinting to keep the middle joint extended.
The lining of joints affected by rheumatoid arthritis become inflamed, which can cause the joints to swell, and become hot and tender to touch. In some people, firm swellings called rheumatoid nodules can also develop under the skin around affected joints.oints affected by rheumatoid arthritis can feel stiff. For example, if your hands are affected, you may not be able to fully bend your fingers or form a fist. Like joint pain, the stiffness is often more severe in the morning or after a period of inactivity.